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Endoscopic treatment for high-risk T1 colorectal cancer: is it better to begin with endoscopic or surgical treatment?高危T1期结直肠癌的内镜治疗：从内镜治疗还是手术治疗开始更好？
Transl Gastroenterol Hepatol. 2017 May 4;2:39. doi: 10.21037/tgh.2017.04.04. eCollection 2017.
2
Resection with en bloc removal of regional lymph node after endoscopic resection for T1 colorectal cancer.内镜切除 T1 结直肠癌后整块切除区域淋巴结。
Ann Surg Oncol. 2012 Dec;19(13):4161-7. doi: 10.1245/s10434-012-2471-7. Epub 2012 Jul 7.
3
The significance of tumor budding in T1 colorectal carcinoma: the most reliable predictor of lymph node metastasis especially in endoscopically resected T1 colorectal carcinoma.肿瘤芽在 T1 结直肠癌中的意义：淋巴结转移的最可靠预测因子，尤其是在经内镜切除的 T1 结直肠癌中。
Hum Pathol. 2018 Aug;78:8-17. doi: 10.1016/j.humpath.2018.02.001. Epub 2018 Feb 13.
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Factors associated with risk for colorectal cancer recurrence after endoscopic resection of T1 tumors.内镜切除 T1 肿瘤后结直肠癌复发风险的相关因素。
Clin Gastroenterol Hepatol. 2014 Feb;12(2):292-302.e3. doi: 10.1016/j.cgh.2013.08.008. Epub 2013 Aug 17.
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Endoscopic Submucosal Dissection Decreases Additional Colorectal Resection for T1 Colorectal Cancer.内镜黏膜下剥离术降低 T1 结直肠癌的额外结直肠切除术需求。
Med Sci Monit. 2018 Sep 29;24:6910-6917. doi: 10.12659/MSM.909380.
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Long-term Recurrence-free Survival After Standard Endoscopic Resection Versus Surgical Resection of Submucosal Invasive Colorectal Cancer: A Population-based Study.标准内镜切除与手术切除黏膜下浸润性结直肠癌的长期无复发生存率比较：一项基于人群的研究。
Clin Gastroenterol Hepatol. 2017 Mar;15(3):403-411.e1. doi: 10.1016/j.cgh.2016.08.041. Epub 2016 Sep 5.
7
Endoscopic resection of high-risk T1 colorectal carcinoma prior to surgical resection has no adverse effect on long-term outcomes.内镜切除高危 T1 结直肠肿瘤术前切除术对长期结果无不良影响。
Gut. 2018 Feb;67(2):284-290. doi: 10.1136/gutjnl-2015-310961. Epub 2016 Nov 3.
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Risk for Incomplete Resection after Macroscopic Radical Endoscopic Resection of T1 Colorectal Cancer: A Multicenter Cohort Study.T1期结直肠癌宏观根治性内镜切除术后切缘阳性的风险：一项多中心队列研究
Am J Gastroenterol. 2017 May;112(5):785-796. doi: 10.1038/ajg.2017.58. Epub 2017 Mar 21.
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Management of colorectal T1 carcinoma treated by endoscopic resection.经内镜切除治疗的结直肠T1癌的管理
Dig Endosc. 2016 Apr;28(3):324-9. doi: 10.1111/den.12503. Epub 2015 Sep 6.
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Pathological risk factors and predictive endoscopic factors for lymph node metastasis of T1 colorectal cancer: a single-center study of 846 lesions.T1 结直肠肿瘤淋巴结转移的病理危险因素和预测性内镜因素：一项 846 例病变的单中心研究。
J Gastroenterol. 2019 Aug;54(8):708-717. doi: 10.1007/s00535-019-01564-y. Epub 2019 Feb 27.

引用本文的文献

1
Long-term outcomes and lymph node metastasis following endoscopic resection with additional surgery or primary surgery for T1 colorectal cancer.T1期结直肠癌内镜切除联合额外手术或初次手术的长期结局及淋巴结转移情况
Sci Rep. 2025 Jan 20;15(1):2573. doi: 10.1038/s41598-024-84915-x.
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Surgical resection after endoscopic resection in patients with T1 colorectal cancer: a meta-analysis.内镜切除后行手术切除治疗 T1 期结直肠癌患者的疗效：一项荟萃分析。
Int J Colorectal Dis. 2021 Mar;36(3):457-466. doi: 10.1007/s00384-020-03752-2. Epub 2020 Oct 27.
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Cost-effectiveness Evaluation of Targeted Surgical and Endoscopic Therapies for Early Colorectal Adenocarcinoma Based on Biomarker Profiles.基于生物标志物特征的早期结直肠腺癌靶向手术和内镜治疗的成本效益评估。
JAMA Netw Open. 2020 Mar 2;3(3):e1919963. doi: 10.1001/jamanetworkopen.2019.19963.
4
Incomplete resection after macroscopic radical endoscopic resection of T1 colorectal cancer-should a paradigm-changing approach to address the risk be considered?T1期结直肠癌宏观根治性内镜切除术后的不完全切除——是否应考虑一种改变范式的方法来应对风险？
Transl Gastroenterol Hepatol. 2017 Aug 29;2:69. doi: 10.21037/tgh.2017.08.04. eCollection 2017.

本文引用的文献

1
Long-term outcomes after treatment for T1 colorectal carcinoma: a multicenter retrospective cohort study of Hiroshima GI Endoscopy Research Group.T1 结直肠癌治疗后的长期结局：广岛 GI 内镜研究组的多中心回顾性队列研究。
J Gastroenterol. 2017 Nov;52(11):1169-1179. doi: 10.1007/s00535-017-1318-1. Epub 2017 Feb 13.
2
Endoscopic resection of high-risk T1 colorectal carcinoma prior to surgical resection has no adverse effect on long-term outcomes.内镜切除高危 T1 结直肠肿瘤术前切除术对长期结果无不良影响。
Gut. 2018 Feb;67(2):284-290. doi: 10.1136/gutjnl-2015-310961. Epub 2016 Nov 3.
3
Long-term outcomes after treatment for T1 colorectal carcinoma.T1期结直肠癌治疗后的长期结局
Int J Colorectal Dis. 2016 Mar;31(3):571-8. doi: 10.1007/s00384-015-2473-6. Epub 2015 Dec 22.
4
Endoscopic full-thickness resection in the colorectum with a novel over-the-scope device: first experience.使用新型套扎式内镜全层切除术治疗结直肠癌：初步经验
Endoscopy. 2015 Aug;47(8):719-25. doi: 10.1055/s-0034-1391781. Epub 2015 Mar 12.
5
Towards safer and appropriate application of endoscopic submucosal dissection for T1 colorectal carcinoma as total excisional biopsy: future perspectives.为实现 T1 结直肠肿瘤内镜黏膜下剥离术作为整块切除活检的更安全和更合理应用：未来展望。
Dig Endosc. 2015 Jan;27(2):216-22. doi: 10.1111/den.12326. Epub 2014 Oct 16.
6
Balloon-armed mechanical counter traction and double-armed bar suturing systems for pure endoscopic full-thickness resection.用于纯内镜全层切除术的球囊臂机械对抗牵引和双臂杆缝合系统。
Gastroenterology. 2014 Aug;147(2):278-80.e1. doi: 10.1053/j.gastro.2014.06.030. Epub 2014 Jun 25.
7
Current innovations in endoscopic therapy for the management of colorectal cancer: from endoscopic submucosal dissection to endoscopic full-thickness resection.结直肠癌治疗中内镜治疗的当前创新：从内镜黏膜下剥离术到内镜全层切除术。
Biomed Res Int. 2014;2014:925058. doi: 10.1155/2014/925058. Epub 2014 Apr 30.
8
Oncologic colorectal resection after endoscopic treatment of malignant polyps: does endoscopy have an adverse effect on oncologic and surgical outcomes?内镜治疗恶性息肉后的结直肠肿瘤切除术：内镜治疗是否对肿瘤学和手术结果有不良影响？
Gastrointest Endosc. 2014 Jun;79(6):951-60. doi: 10.1016/j.gie.2013.11.014. Epub 2014 Jan 9.
9
Factors associated with risk for colorectal cancer recurrence after endoscopic resection of T1 tumors.内镜切除 T1 肿瘤后结直肠癌复发风险的相关因素。
Clin Gastroenterol Hepatol. 2014 Feb;12(2):292-302.e3. doi: 10.1016/j.cgh.2013.08.008. Epub 2013 Aug 17.
10
A large-scale multicenter study of long-term outcomes after endoscopic resection for submucosal invasive colorectal cancer.一项内镜下切除治疗黏膜下浸润性结直肠癌的长期结局的大规模多中心研究。
Endoscopy. 2013 Sep;45(9):718-24. doi: 10.1055/s-0033-1344234. Epub 2013 Aug 5.

Endoscopic treatment for high-risk T1 colorectal cancer: is it better to begin with endoscopic or surgical treatment?

作者信息

Fujihara Shintaro, Mori Hirohito, Kobara Hideki, Nishiyama Noriko, Yoshitake Akira, Deguchi Akihiro, Masaki Tsutomu

机构信息

Department of Gastroenterology, Kagawa Rousai Hospital, Japan.

Departments of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Japan.

出版信息

Transl Gastroenterol Hepatol. 2017 May 4;2:39. doi: 10.21037/tgh.2017.04.04. eCollection 2017.

DOI:10.21037/tgh.2017.04.04
PMID:28529993
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5420528/
Abstract
摘要